Can periodontal health determinants predict future self-rated health?
Aim The aim of this study was to determine the correlation between periodontal health determinants and self-rated health. Design This was a nested analytical cohort study conducted in the years 2015–19 which is a part of Nationwide survey conducted by 8020 Promotion foundation in Japan. Cohort selec...
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description | Aim
The aim of this study was to determine the correlation between periodontal health determinants and self-rated health.
Design
This was a nested analytical cohort study conducted in the years 2015–19 which is a part of Nationwide survey conducted by 8020 Promotion foundation in Japan.
Cohort selection
Only the dentate patients >20 years of age at their initial visit and who gave informed consent were recruited for the study. In this study, the data from the patients regarding their self-rated health was determined each year and was correlated with the periodontal health parameters, recorded in penultimate year(s). Primary analysis included correlation of 1-year lagged periodontal health parameters with current self-reported health. A total of 9306 data-pairs were included from 4 different cohort-year pairs, which included 2710, 2473, 2172, and 1952 observations pairs from 2015 to 16, 2016 to 17, 2017 to 18, and 2018 to 19, respectively. Sensitivity analysis was done by using 4-year cohort model and 3-year lagged data pairing and included 2429 and 4787 observation-pairs, respectively. Periodontal health parameters used in the study included bleeding on probing, clinical attachment level, and periodontal pocket depth. In addition, data on various covariates, self-reported data about bleeding on brushing and swollen gums was also collected using a questionnaire. For both the primary analysis and the sensitivity analysis for 3-year lagged data-pairs, multi-level logistic regression analysis was used and both the crude and adjusted odds ratios were calculated. For the sensitivity analysis of 4-year cohort-model, an ordered logistic regression analysis was used.
Results
In primary analysis, adjusted odds ratio depicted a statistically significant correlation between poor-SRH with self-reported bleeding gums (OR = 1.329, CI = 1.209–1.461), swollen gums (OR = 1.402, CI = 1.260–1.559) and for the cohort of patients with CAL ≥ 7 mm (OR = 1.154, CI = 1.022–1.304). These findings were consistent for both of the sensitivity analyses. In accordance, again a significant correlation was found between poor-SRH and self-reported bleeding gums, (4-year follow-up: OR = 1.569, CI = 1.312–1.876; 3-year lagged model: OR = 1.462, CI = 1.237–1.729) and self-reported swollen gums (4-year follow-up: OR = 1.457, CI = 1.91–1.783; 3-year lagged model: OR = 1.588, CI = 1.315–1.918) Among the clinical parameters, only the cohort with maximum probing depth of ≥7 mm showed significant co |
doi_str_mv | 10.1038/s41432-023-00855-x |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2785200299</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2785200299</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-705387ab17ef023bddd371ac1d90e718464bf7f854ac11390643519e3f3083063</originalsourceid><addsrcrecordid>eNp9kMtOwzAQRS0EoqXwAyxQJDZsAuNHYmeFUFUeUiU2sLbceEJTpUmxHan8PS4pILFgNdbMmTvXl5BzCtcUuLrxggrOUmA8BVBZlm4PyJgKmaeZEPnh7p3HMYhiRE68XwGAlJAdkxHPVQFMZGMym5o22aCrO9u1wTTJEk0TlonFgG5dt6YNPtk4tHUZkqoPvcPEY1OlzgS0e_r2lBxVpvF4tq8T8no_e5k-pvPnh6fp3TwtOctDGo9zJc2CSqyi64W1lktqSmoLQEmVyMWikpXKROxRXkAueEYL5BUHxSHnE3I16G5c996jD3pd-xKbxrTY9V4zqTIGwIoiopd_0FXXuza6i1T8PBRM7Sg2UKXrvHdY6Y2r18Z9aAp6F7IeQtbRrv4KWW_j0sVeul-s0f6sfKcaAT4APo7aN3S_t_-R_QQgxYY-</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2790209289</pqid></control><display><type>article</type><title>Can periodontal health determinants predict future self-rated health?</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Gugnani, Neeraj ; Gugnani, Shalini</creator><creatorcontrib>Gugnani, Neeraj ; Gugnani, Shalini</creatorcontrib><description>Aim
The aim of this study was to determine the correlation between periodontal health determinants and self-rated health.
Design
This was a nested analytical cohort study conducted in the years 2015–19 which is a part of Nationwide survey conducted by 8020 Promotion foundation in Japan.
Cohort selection
Only the dentate patients >20 years of age at their initial visit and who gave informed consent were recruited for the study. In this study, the data from the patients regarding their self-rated health was determined each year and was correlated with the periodontal health parameters, recorded in penultimate year(s). Primary analysis included correlation of 1-year lagged periodontal health parameters with current self-reported health. A total of 9306 data-pairs were included from 4 different cohort-year pairs, which included 2710, 2473, 2172, and 1952 observations pairs from 2015 to 16, 2016 to 17, 2017 to 18, and 2018 to 19, respectively. Sensitivity analysis was done by using 4-year cohort model and 3-year lagged data pairing and included 2429 and 4787 observation-pairs, respectively. Periodontal health parameters used in the study included bleeding on probing, clinical attachment level, and periodontal pocket depth. In addition, data on various covariates, self-reported data about bleeding on brushing and swollen gums was also collected using a questionnaire. For both the primary analysis and the sensitivity analysis for 3-year lagged data-pairs, multi-level logistic regression analysis was used and both the crude and adjusted odds ratios were calculated. For the sensitivity analysis of 4-year cohort-model, an ordered logistic regression analysis was used.
Results
In primary analysis, adjusted odds ratio depicted a statistically significant correlation between poor-SRH with self-reported bleeding gums (OR = 1.329, CI = 1.209–1.461), swollen gums (OR = 1.402, CI = 1.260–1.559) and for the cohort of patients with CAL ≥ 7 mm (OR = 1.154, CI = 1.022–1.304). These findings were consistent for both of the sensitivity analyses. In accordance, again a significant correlation was found between poor-SRH and self-reported bleeding gums, (4-year follow-up: OR = 1.569, CI = 1.312–1.876; 3-year lagged model: OR = 1.462, CI = 1.237–1.729) and self-reported swollen gums (4-year follow-up: OR = 1.457, CI = 1.91–1.783; 3-year lagged model: OR = 1.588, CI = 1.315–1.918) Among the clinical parameters, only the cohort with maximum probing depth of ≥7 mm showed significant correlation with future poorer SRH in a 3-year lagged model (OR = 1.290, CI = 1.002–1.661).
Conclusion
Periodontal health is helpful in determining future self-rated health. The correlation between self-rated health and self-reported bleeding and swollen gums were found to be statistically significant even after adjustment was done for various covariates that may impact the self-rated health.</description><identifier>ISSN: 1462-0049</identifier><identifier>EISSN: 1476-5446</identifier><identifier>DOI: 10.1038/s41432-023-00855-x</identifier><identifier>PMID: 36890245</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/3020/3023 ; 692/699/3020/3029 ; Bleeding ; Clinical outcomes ; Cohort Studies ; Comment ; Dentistry ; Gum disease ; Humans ; Japan - epidemiology ; Medicine ; Regression analysis ; Self Report ; Sensitivity analysis ; Statistical analysis ; Surveys and Questionnaires</subject><ispartof>Evidence-based dentistry, 2023-03, Vol.24 (1), p.2-4</ispartof><rights>The Author(s), under exclusive licence to British Dental Association 2023</rights><rights>2023. The Author(s), under exclusive licence to British Dental Association.</rights><rights>The Author(s), under exclusive licence to British Dental Association 2023.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-705387ab17ef023bddd371ac1d90e718464bf7f854ac11390643519e3f3083063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41432-023-00855-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41432-023-00855-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36890245$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gugnani, Neeraj</creatorcontrib><creatorcontrib>Gugnani, Shalini</creatorcontrib><title>Can periodontal health determinants predict future self-rated health?</title><title>Evidence-based dentistry</title><addtitle>Evid Based Dent</addtitle><addtitle>Evid Based Dent</addtitle><description>Aim
The aim of this study was to determine the correlation between periodontal health determinants and self-rated health.
Design
This was a nested analytical cohort study conducted in the years 2015–19 which is a part of Nationwide survey conducted by 8020 Promotion foundation in Japan.
Cohort selection
Only the dentate patients >20 years of age at their initial visit and who gave informed consent were recruited for the study. In this study, the data from the patients regarding their self-rated health was determined each year and was correlated with the periodontal health parameters, recorded in penultimate year(s). Primary analysis included correlation of 1-year lagged periodontal health parameters with current self-reported health. A total of 9306 data-pairs were included from 4 different cohort-year pairs, which included 2710, 2473, 2172, and 1952 observations pairs from 2015 to 16, 2016 to 17, 2017 to 18, and 2018 to 19, respectively. Sensitivity analysis was done by using 4-year cohort model and 3-year lagged data pairing and included 2429 and 4787 observation-pairs, respectively. Periodontal health parameters used in the study included bleeding on probing, clinical attachment level, and periodontal pocket depth. In addition, data on various covariates, self-reported data about bleeding on brushing and swollen gums was also collected using a questionnaire. For both the primary analysis and the sensitivity analysis for 3-year lagged data-pairs, multi-level logistic regression analysis was used and both the crude and adjusted odds ratios were calculated. For the sensitivity analysis of 4-year cohort-model, an ordered logistic regression analysis was used.
Results
In primary analysis, adjusted odds ratio depicted a statistically significant correlation between poor-SRH with self-reported bleeding gums (OR = 1.329, CI = 1.209–1.461), swollen gums (OR = 1.402, CI = 1.260–1.559) and for the cohort of patients with CAL ≥ 7 mm (OR = 1.154, CI = 1.022–1.304). These findings were consistent for both of the sensitivity analyses. In accordance, again a significant correlation was found between poor-SRH and self-reported bleeding gums, (4-year follow-up: OR = 1.569, CI = 1.312–1.876; 3-year lagged model: OR = 1.462, CI = 1.237–1.729) and self-reported swollen gums (4-year follow-up: OR = 1.457, CI = 1.91–1.783; 3-year lagged model: OR = 1.588, CI = 1.315–1.918) Among the clinical parameters, only the cohort with maximum probing depth of ≥7 mm showed significant correlation with future poorer SRH in a 3-year lagged model (OR = 1.290, CI = 1.002–1.661).
Conclusion
Periodontal health is helpful in determining future self-rated health. The correlation between self-rated health and self-reported bleeding and swollen gums were found to be statistically significant even after adjustment was done for various covariates that may impact the self-rated health.</description><subject>692/699/3020/3023</subject><subject>692/699/3020/3029</subject><subject>Bleeding</subject><subject>Clinical outcomes</subject><subject>Cohort Studies</subject><subject>Comment</subject><subject>Dentistry</subject><subject>Gum disease</subject><subject>Humans</subject><subject>Japan - epidemiology</subject><subject>Medicine</subject><subject>Regression analysis</subject><subject>Self Report</subject><subject>Sensitivity analysis</subject><subject>Statistical analysis</subject><subject>Surveys and Questionnaires</subject><issn>1462-0049</issn><issn>1476-5446</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kMtOwzAQRS0EoqXwAyxQJDZsAuNHYmeFUFUeUiU2sLbceEJTpUmxHan8PS4pILFgNdbMmTvXl5BzCtcUuLrxggrOUmA8BVBZlm4PyJgKmaeZEPnh7p3HMYhiRE68XwGAlJAdkxHPVQFMZGMym5o22aCrO9u1wTTJEk0TlonFgG5dt6YNPtk4tHUZkqoPvcPEY1OlzgS0e_r2lBxVpvF4tq8T8no_e5k-pvPnh6fp3TwtOctDGo9zJc2CSqyi64W1lktqSmoLQEmVyMWikpXKROxRXkAueEYL5BUHxSHnE3I16G5c996jD3pd-xKbxrTY9V4zqTIGwIoiopd_0FXXuza6i1T8PBRM7Sg2UKXrvHdY6Y2r18Z9aAp6F7IeQtbRrv4KWW_j0sVeul-s0f6sfKcaAT4APo7aN3S_t_-R_QQgxYY-</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Gugnani, Neeraj</creator><creator>Gugnani, Shalini</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20230301</creationdate><title>Can periodontal health determinants predict future self-rated health?</title><author>Gugnani, Neeraj ; Gugnani, Shalini</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-705387ab17ef023bddd371ac1d90e718464bf7f854ac11390643519e3f3083063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>692/699/3020/3023</topic><topic>692/699/3020/3029</topic><topic>Bleeding</topic><topic>Clinical outcomes</topic><topic>Cohort Studies</topic><topic>Comment</topic><topic>Dentistry</topic><topic>Gum disease</topic><topic>Humans</topic><topic>Japan - epidemiology</topic><topic>Medicine</topic><topic>Regression analysis</topic><topic>Self Report</topic><topic>Sensitivity analysis</topic><topic>Statistical analysis</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gugnani, Neeraj</creatorcontrib><creatorcontrib>Gugnani, Shalini</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Evidence-based dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gugnani, Neeraj</au><au>Gugnani, Shalini</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Can periodontal health determinants predict future self-rated health?</atitle><jtitle>Evidence-based dentistry</jtitle><stitle>Evid Based Dent</stitle><addtitle>Evid Based Dent</addtitle><date>2023-03-01</date><risdate>2023</risdate><volume>24</volume><issue>1</issue><spage>2</spage><epage>4</epage><pages>2-4</pages><issn>1462-0049</issn><eissn>1476-5446</eissn><abstract>Aim
The aim of this study was to determine the correlation between periodontal health determinants and self-rated health.
Design
This was a nested analytical cohort study conducted in the years 2015–19 which is a part of Nationwide survey conducted by 8020 Promotion foundation in Japan.
Cohort selection
Only the dentate patients >20 years of age at their initial visit and who gave informed consent were recruited for the study. In this study, the data from the patients regarding their self-rated health was determined each year and was correlated with the periodontal health parameters, recorded in penultimate year(s). Primary analysis included correlation of 1-year lagged periodontal health parameters with current self-reported health. A total of 9306 data-pairs were included from 4 different cohort-year pairs, which included 2710, 2473, 2172, and 1952 observations pairs from 2015 to 16, 2016 to 17, 2017 to 18, and 2018 to 19, respectively. Sensitivity analysis was done by using 4-year cohort model and 3-year lagged data pairing and included 2429 and 4787 observation-pairs, respectively. Periodontal health parameters used in the study included bleeding on probing, clinical attachment level, and periodontal pocket depth. In addition, data on various covariates, self-reported data about bleeding on brushing and swollen gums was also collected using a questionnaire. For both the primary analysis and the sensitivity analysis for 3-year lagged data-pairs, multi-level logistic regression analysis was used and both the crude and adjusted odds ratios were calculated. For the sensitivity analysis of 4-year cohort-model, an ordered logistic regression analysis was used.
Results
In primary analysis, adjusted odds ratio depicted a statistically significant correlation between poor-SRH with self-reported bleeding gums (OR = 1.329, CI = 1.209–1.461), swollen gums (OR = 1.402, CI = 1.260–1.559) and for the cohort of patients with CAL ≥ 7 mm (OR = 1.154, CI = 1.022–1.304). These findings were consistent for both of the sensitivity analyses. In accordance, again a significant correlation was found between poor-SRH and self-reported bleeding gums, (4-year follow-up: OR = 1.569, CI = 1.312–1.876; 3-year lagged model: OR = 1.462, CI = 1.237–1.729) and self-reported swollen gums (4-year follow-up: OR = 1.457, CI = 1.91–1.783; 3-year lagged model: OR = 1.588, CI = 1.315–1.918) Among the clinical parameters, only the cohort with maximum probing depth of ≥7 mm showed significant correlation with future poorer SRH in a 3-year lagged model (OR = 1.290, CI = 1.002–1.661).
Conclusion
Periodontal health is helpful in determining future self-rated health. The correlation between self-rated health and self-reported bleeding and swollen gums were found to be statistically significant even after adjustment was done for various covariates that may impact the self-rated health.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>36890245</pmid><doi>10.1038/s41432-023-00855-x</doi><tpages>3</tpages></addata></record> |
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subjects | 692/699/3020/3023 692/699/3020/3029 Bleeding Clinical outcomes Cohort Studies Comment Dentistry Gum disease Humans Japan - epidemiology Medicine Regression analysis Self Report Sensitivity analysis Statistical analysis Surveys and Questionnaires |
title | Can periodontal health determinants predict future self-rated health? |
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